Receiving the 2001 Distinguished Researcher Award for oncology nursing research is one of the greatest moments of my professional career. It is also a time for reflection. A researcher easily can become immersed in the specifics of his or her work and forget the larger picture. An opportunity such as this allows me to step back, reflect, and review what I have accomplished. It also challenges me to think about the totality of behavioral oncology research, look at where we have been, and think about where we should be going. I would like to consider three areas. First, we will define what I consider to be the domain of behavioral oncology. Second, we will look at our current research progress in the area of screening and briefly discuss needs at diagnosis, survivorship, and end of life. Third, I would like to consider what is needed to further the field of behavioral oncology research.